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HR Service Center Rep I
HCSC - Richardson, TX
Job Purpose: Under supervision, this position is responsible for providing timely and accurate service to customers (primarily active employees) by assisting in processing HR documents, i.e. benefit, salary, and status changes; providing information on a wide range of Human Resources programs and services (via phone, chat, AskHR cases) and by the expeditious referral of m...
Medical Mgmt Social Worker II
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for working with members, member families and physicians on health issues including complex cases. Will be primarily responsible for working with members using behavioral modification techniques to help members make positive lifestyle changes impacting their health and wellness. Will assist the member and/or t...
Customer Advocate I
HCSC - Albuquerque, NM
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB R...
Care Coordinator UM/CM I
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and i...
Assoc Medicaid Ops Specialist
HCSC - Chicago, IL
Job Purpose: This position is responsible for providing assistance to the Medicaid Operations Specialist on operational services, works with Medicaid Operational Specialist with program implementation and coordination for one or more of the day-to-day Medicaid operation functions (e.g. billing, claims enrollment, encounter submissions and customer service.) ...
Analytics & Reporting Consultant - Provider Data Analysis
HCSC - Richardson, TX
Located in Richardson, TX this position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and leading cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system reporti...
Account Executive II
HCSC - Downers Grove, IL
BASIC FUNCTION: This position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. JOB REQUIREMENTS: *Must have General Lines Agent * Life, Health, and HMO license or obtain General Lines Agent * Life, Health, and...
Infra Eng Cloud Auto & Tools Consultant - Data Warehouse
HCSC - Richardson, TX
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
Infra Eng Cloud Auto & Tools Con - Cosmosdb
HCSC - Richardson, TX
Job Purpose: This position is responsible for providing technical leadership in the formulation and execution of Cosmosdb architecture; participating in key architecture and Infrastructure decisions across organization; developing processes, procedures, policies and standards for Cosmosdb; Designing and building Infrastructure Management tools around to support of Cosmosdb. ...
Quality Management Specialist II
HCSC - Downers Grove, IL
BASIC FUNCTION: This position is responsible for facilitating BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL clinical practice guidelines; consults with MG/IPAs, physicians, providers, members, and other resources to assess, plan, facilitate implement, coordinate, monitor and evaluate options and services req...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Richardson, TX
------------------------------------------------------------ At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focu...
Events Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for assisting the department with the coordination and implementation of high quality, creative and cost effective corporate meetings and events; to include execution of vendor relations, venue selection, contract negotiations, food and beverage selections, audio-visual service, transportation and any others pertaining to the dem...
Project Management Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for project management and leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion; oversight, coordination, and ability to implement projects according to dynamic and critical timelines; oversight of project teams, resources, and budget; and interacting with all level...
Sr Strategic Product Manager
HCSC - Tulsa, OK
JOB SUMMARY: This role is for a Senior Strategic Product Manager within Product Solutions, with direct management over a suite of health & wellness care management products for the commercial employer group line of business. This is an exciting opportunity to work in a fast-paced environment, leading a highly-motivated team, to manage existing produc...
Test Engineer
HCSC - Richardson, TX
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
